Organization
ADVANCED ENDOCRINOLOGY AND DIABETES CENTER,
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMED F ZEITOUN MD (MEDICAL DIRECTOR/CEO)
(219) 945-0600
Entity
Organization
Contact information
Practice address
1600 S LAKE PARK AVE, SUITE 1104, HOBART, IN 46342-6641
(219) 945-0600
(219) 947-6939
Mailing address
PO BOX 10069, MERRILLVILLE, IN 46411-0069
(219) 945-0600
(219) 947-6939
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
01045259
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200106010C
—
IN
05
—
200106010D
—
IN
Enumeration date
08/05/2006
Last updated
11/24/2020
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